Integrated Telemedicine Program Evaluation

Part of paid clinical trials in Danville, Pennsylvania.

Sponsor
Geisinger Clinic
Study ID
NCT07042477
Status
Recruiting
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Conditions

  • Behavioral Intervention
  • Emergency Department Visits
  • Telemedicine

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Integrated Telemedicine Program — BEHAVIORAL
    The integrated telemedicine program is short-term bridge support provided by a virtually accessible team, including a behavioral health provider (Health Psychologist or Licensed Clinical Social Worker \[LCSW\]) and Community Health Worker (CHW). Once stabilized, members transition from bridge support to ongoing care with a Geisinger Health System Primary Care Provider and Behavioral Health Provider.

Study Details

This project will evaluate a virtual, on-demand telemedicine program for High emergency department (ED) utilizers with comorbid physical health conditions and behavioral health correlates. Researchers will randomize patients to have either full access to the full intervention (treatment group) or to receive only standard care (control group). Analyses will be intent-to-treat. The primary outcome is the number of ED visits 120 days after the first Best Practice Alert (BPA) firing. The research team plans to enroll 3200 patients in this study. However, randomization may end due to system constraints on December 31, 2025 before reaching that target. This sample provides 80% power to detect a 35% relative reduction in ED utilization using a two-tailed test with an alpha of .15, assuming 40% compliance with the program.

Key Dates

Start date
Jun 18, 2025
Status verified
Jun 2025
Primary completion
Apr 30, 2026
Completion
Apr 30, 2026

Study Design

Enrollment
3,200 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Integrated Telemedicine Program
    Patients will be invited to participate in the integrated telemedicine program through text, email, and/or phone calls.
  • No Intervention: Control
    Patients will receive only standard care and will receive no invitation to participate in the integrated telemedicine program.

Primary Outcome Measure

Emergency Department Visits [ Time Frame: within 120 days of the initial BPA firing ]

Locations (1)

FacilityCityStateZIPSite coordinators
Geisinger ClinicDanvillePennsylvania17822
Amir Goren, PhD
[email protected]
570-214-4395
Sasha C Brietzke, PhD
[email protected]
9734540855
Amir Goren, PhD (PRINCIPAL_INVESTIGATOR)

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